A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse?

The television set is turned to a loud volume.

The dining room table has low chairs with no armrests.

The bedroom extension cord is placed under a heavy nightstand.

The living room contains wall-to-wall carpeting.

Answer and Explanation

The Correct Answer is C

A.   The television set turned to a loud volume may not necessarily pose a safety hazard unless it disturbs others in the household or contributes to hearing damage. However, it is not a direct safety concern for the client.
B.   The dining room table having low chairs with no armrests could present a challenge for older adults when sitting down or getting up, but it is not an immediate safety hazard.
C.   The bedroom extension cord placed under a heavy nightstand is a safety hazard because it poses a risk of electrical fire if the cord becomes damaged or overloaded. The nurse should
intervene to relocate the extension cord to a safer location.

D. The presence of wall-to-wall carpeting in the living room is not necessarily a safety hazard unless it is loose or torn, posing a tripping hazard. However, it is not explicitly described as such in the scenario.

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Correct Answer is A

Explanation

A. Switch to a soy-based formula: Bloody stools in infants can be indicative of a cow's milk protein allergy or intolerance. Switching to a soy-based formula may alleviate symptoms in such cases.
B. Switch to a goat's milk formula: Goat's milk is not recommended for infants as it lacks essential nutrients and can lead to nutritional deficiencies and other health issues.
C. Switch to an unpasteurized milk formula: Unpasteurized milk poses a risk of bacterial contamination and is not recommended, especially for infants who are more susceptible to infections.
D. Switch to a condensed milk formula: Condensed milk is not suitable as a primary source of nutrition for infants and does not address the potential underlying issue of cow's milk intolerance.

A. A decreased level of consciousness and vomiting B. Cellulitis accompanied by a low-grade fever C. A pain rating of 7 on a scale from 0 to 10 after receiving analgesia 30 min ago D. Type 2 diabetes mellitus and a blood glucose level of 160 mg/dL

Correct Answer is A

Explanation

A. A decreased level of consciousness and vomiting may indicate a potentially serious condition such as increased intracranial pressure, electrolyte imbalance, or metabolic disorder. Immediate assessment and intervention are necessary to determine the cause and provide appropriate treatment.
B. Cellulitis accompanied by a low-grade fever is concerning but may not require immediate attention compared to a decreased level of consciousness and vomiting.
C. A pain rating of 7 after receiving analgesia 30 minutes ago is important to address, but it may not be as urgent as assessing a client with a decreased level of consciousness and vomiting.
D. A blood glucose level of 160 mg/dL in a client with type 2 diabetes mellitus may require monitoring and intervention, but it may not be as urgent as assessing a client with a decreased level of consciousness and vomiting.

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A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who is drinking a cow's milk formula and has bloody stools. Which of the following recommendations should the nurse make to the infant's guardian?

Correct Answer is A

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Correct Answer is A

Explanation

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